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Complaint Investigation

Grand Trace Health And Rehabilitation

August 27, 2025 · Natchez, MS · 555 John R. Junkin Drive
Citations 1
CMS Rating 1/5
Beds 96
Provider ID 255173
Healthcare Facility
Grand Trace Health And Rehabilitation
Natchez, MS  ·  View full profile →
Inspection Summary

GRAND TRACE HEALTH AND REHABILITATION in NATCHEZ, MS — inspection on August 27, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0842
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

he received regular reports from his Nurse Practitioner (NP) and that the resident's behaviors were in line with the signs and symptoms of her diagnosis. He confirmed that the signs and symptoms exhibited by Resident #1 were also associated with frontotemporal dementia and that usually radiographic study may reveal the differential diagnosis. He confirmed that the resident had multiple head CT scans during her residence at the facility, read by a radiologist with no noted change or addition to the diagnosis she had at the time of admission by the facility. He stated that if he had been made aware of a new diagnosis the treatment would not have changed, because the treatments are basically the same in as much as the symptoms/behaviors were targeted and treated the same. He stated that he did not believe that the resident was inappropriately placed and said that her preexisting diagnosis would have limited her appropriateness for dementia or memory care units. He stated that since the resident had been diagnosed with impaired cognition of unknown etiology, the facility care planned and provided care in the same manner to a resident who had an official dementia diagnosis. On 8/27/25 at 4:30 PM, during an interview the Director of Nursing (DON) confirmed that Resident #1 did not have a diagnosis of dementia during her residence at the facility but did have a care planned diagnosis of impaired cognition.

She confirmed that any documentation of dementia was inaccurate.

She stated that resident diagnoses were listed in their entirety on each resident's admission record.

She confirmed that it was important for documentation to be accurate for each resident in order for staff to provide appropriate patient centered care and that inaccurate documentation could result in care for the resident that was not directed towards the needs of the resident. On 8/27/25 at 5:00 PM, during an interview the Executive Director (ED) stated that Resident #1 did not have a diagnosis of dementia during her residence at the facility but did have a care planned diagnosis of impaired cognition.

She confirmed that any documentation of dementia was inaccurate.

She confirmed that resident diagnoses were listed in their entirety on each resident's admission record.

She confirmed that it was important for documentation to be accurate for each resident in order for staff to provide patient centered care and that inaccurate documentation could result in care for the resident that was not directed towards the needs and strengths of the resident at either the facility or at other admitting facilities.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NATCHEZ, MS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GRAND TRACE HEALTH AND REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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